Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Ear Nose & Throat, PC

Organization Otolaryngology Physician · NPI 1245380005

Advanced Ear Nose & Throat, PC provides Otolaryngology Physician services in Midwest City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1201 S Douglas Blvd Ste L
Midwest City, OK 73130-5239 Not confirmed with CMS for 16 years — call before visiting
Phone: (314) 239-3527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 4473 (OK)

Record details

NPI number1245380005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronald Goodell — President · (314) 239-3527
NPI enumeratedJanuary 11, 2007
Last updated in NPPESApril 27, 2010
Mailing address972 Sunburst Ct, Ballwin, MO 63021-6937

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